2 Critical illness claims report At Scottish Provident we pride ourselves on providing quality cover and a proven track record for claims. This report details our critical illness claims in the first half of It details the illnesses which led to the claims, provides reasons why some are not and also gives guidance on how you can help your clients ensure that their claim is. What is critical illness cover? Critical illness cover pays out if your clients suffer a critical illness, listed within the plan, which meets our definition. This form of cover can be taken out on a level, increasing or decreasing term basis and is available for a fixed or renewable term. Why is it important? For most of us, the importance of having critical illness cover in place does not become clear until we need to make a claim. But it is not just about having the right amount of cover in place. It is about having quality cover, offering peace of mind to planholders and cover that will pay out when it is needed. Our claims statistics At Scottish Provident, we believe it is important to be open about our critical illness claims. We want to be able to pay out to your clients when they make a claim helping them in their time of need. Please note that these statistics do not include children s critical illness claims. These are reported individually on page 3. claims January - June 2012 amount 43,303,919 number of claims 511 % of claims (as a % of total claims) 93% Average payout 84,743 Largest claim value 1,000,000 Average age of claimant 49 Average time period in force before claim 9 years 1 month Un claims January - June 2012 number of un claims 37 % of un claims (as a % of total claims) 7% Number of claims declined because the illness suffered did not meet our critical illness definition Number of claims which resulted in no payment owing to the discovery of material non-disclosure at the time the plan was taken out. These plans were cancelled with the premiums refunded 25 (5%) 12 (2%) 2

3 Children s critical illness breakdown No one likes to think of their child becoming critically ill, but it is an unfortunate reality. At Scottish Provident we give your clients financial peace of mind by covering their children for critical illnesses. Our experience with children s claims is that thankfully, their ailments are often not critical, nor do they produce lasting symptoms, which explains the high percentage of un claims for children s critical illness. claims January - June 2012 amount 374,375 number of claims 20 % of claims 87% Average payout 18,719* Average age of claimant 8 Average time period in force before claim 7 years, 5 months Un claims January - June 2012 number of un claims 3 % of un claims 13% Did not meet definition 3 (13%) This money could help provide the best care and support for a sick child and allow their parents the financial freedom to change their working patterns in order to look after them. Children s critical illness is our 5th highest claim category. * Children s critical illness pays out the lesser amount of either 20,000 or 50% of your client s main critical illness cover amount. ** Scottish Provident critical illness claims figures 1 January - 30 June ,375 out in children s critical illness claims in the first half of 2012** 3

6 Critical illness claims report Financial support at a time of need the facts At Scottish Provident, we are always looking for ways to make things better for you and your clients. In January 2012 we over 79,000 to a financial adviser who had breast cancer the plan had only been in force 6 months. In January 2012 we over 175,000 to a dentist who had suffered a heart attack the plan had only been in force 12 months. In February 2012 we over 890,000 to a high court judge who had keyhole heart surgery. In February 2012 we over 355,000 to a surgeon who had multiple sclerosis. In May 2012 we 250,000 to an estate agent who had suffered a stroke. If your clients stop paying premiums they will not get anything back, their plan will stop and they will no longer be covered for their benefits. Premiums should continue to be until a decision has been reached on a claim. Plans have no cash in value at any time. Over 1billion in critical illness claims since

7 How you can help us pay claims We know that your clients have taken out critical illness cover to provide some peace of mind in the event of developing a critical illness. Our aim is to pay valid claims as promptly and efficiently as possible. We always assess claims in a fair and consistent way. However, there may be occasions when claims are not because of non-disclosure or if a claim does not meet any of our critical illness definitions. What do we mean by non-disclosure? Non-disclosure occurs before the plan starts, i.e. if your clients fail to fully disclose anything that may be of relevance to the questions on their application form. This may include a detail in their past medical history, which seems unimportant to your clients at the time however, we would rather they gave too much information than too little, allowing us to decide what is important. If, while assessing a claim, it is established that there has been non-disclosure which would have affected the terms on which we would have accepted the case, then the sum assured would be altered to reflect those terms. If the benefit would have been declined then no payment would be made. Help your clients to avoid non-disclosure In order to help your clients as much as possible: Highlight the importance of giving full details of their medical history at application stage. Make sure that all questions on the application form are answered fully. It is far better to give more information than not enough. Your clients may wish to speak to their doctor before making the application if they are unsure about any details. We continue to make improvements to our application form, in order to prompt your clients to give as much information as possible. This should further assist you in ensuring full-disclosure and in delivering a better service for your clients. A 51 year old female claimed under the multiple sclerosis definition. However, the claimant failed to declare on their original application a history of intermittent blurred vision which was investigated in hospital. A claim was made by a 62 year old male for a heart attack. However, the claimant failed to declare that they were a heavy smoker despite being directly asked on their application. A claim was made by a 46 year old female under the kidney failure definition. Evidence later determined that the claimant had been diagnosed with a polycystic kidney disease prior to the application. 7

8 What do we mean by does not meet critical illness definitions? We aim to cover many of the life-changing illnesses that would require your clients to make significant adjustments to the way in which they live their lives. We will not pay a claim for any illness not included within our list of definitions and we urge you and your clients to be fully aware of this. However, our claims process enables your clients to request a claim form even when their illness is not specifically covered by the plan. This enables us to assess whether the claim can be under any of the conditions covered, in other words leaving no stone unturned. We could reduce the number of un claims under the does not meet definition heading if we filtered out grey claims at the initial telephone stage. But we believe our process is treating customers fairly, which outweighs our desire to produce low declinature rates under this heading. The following claims were not out, as they did not meet the plan definitions: A claim was submitted by a 56 year old male under the angioplasty definition. Medical reports confirmed that the procedure had only been carried out to one artery, not two as required by our definition. A 65 year old male claimed under the benign brain tumour definition due to a macroadenoma of the pituitary gland. However, tumours that occur in the pituitary gland are not covered by our definition. Here to help you Underwriting support Helpline Claims support Helpline Please note that we do not cover all illnesses, including some types of cancer. For more information, refer to our definitions guide or product literature for details on the illnesses we cover and any exclusions that may apply. Visit for more information, or call our sales team on Scottish Provident is a division of the Royal London Group which consists of The Royal London Mutual Insurance Society Ltd and its subsidiaries. The Royal London Mutual Insurance Society Ltd is authorised and regulated by the Financial Services Authority No and is registered in England and Wales No The registered office is 55 Gracechurch Street, London, United Kingdom EC3V 0RL. SCPR5658 AUG12 LD

OUR ANNUAL CHECK-UP Protection Critical Illness Statistics 21 WE RE IN BUSINESS TO PAY CLAIMS In an industry like ours, claims statistics are important. They help to reassure you that if your clients ever

Progressive Care Insurance for life A NEW TYPE OF INSURANCE New Progressive Care from Sovereign Progressive Care is a type of insurance that is new to New Zealand. It s not a traditional all-or-nothing

CRACKING GOOD COVER Protection Personal Menu royallondon.com WHAT S INSIDE A summary of our protection covers 4 Cover for you, your partner or both of you 5 Life Cover 6 Critical Illness Cover 7 The full

www.scottishprovident.com Welcome This pack should contain everything you need to know about the way Scottish Provident and our products can benefit both you and your clients. Of course, if there is anything

Report prepared for 6 March 2014 Critical illness cover. It s about time. Term-based life cover s simple. You die within the term, it pays out, you don t, it doesn t. Unfortunately, life itself isn t that

Critical illness report 2005 1 Critical illness report 2005 Critical Illness cover pays out a lump sum if you are diagnosed within the term of the policy with a critical illness that meets the policy definition.

Report prepared for 29 September 2015 Critical illness cover. It s about time. Term-based life cover s simple. You die within the term, it pays out, you don t, it doesn t. Unfortunately, life itself isn

Your Policy Summary Welcome We ve sent you this Policy Summary as a comprehensive guide to our products and because the Insurer is required to do so by the Financial Conduct Authority. This important information

Protecting you and your world Mortgage Protection With Serious Illness Cover Serious Illness Cover for your Mortgage from Caledonian Life Caledonian Life s Mortgage Protection policy offers you a cost-effective

Get the whole story about Critical Illness and how this could affect you Aviva s Critical Illness claims report 2009 Aviva s 2009 critical illness claims report For most of us, the importance of having

AIG Life Critical Illness with Term Assurance Our comprehensive Critical Illness with Term Assurance delivers more value and quality to the customer and their family than ever before. It is designed to

Critical Illness Insurance What is Critical Illness Insurance Whereas life insurance has been readily available for literally hundreds of years, critical illness insurance is a relatively recent development.

This communication is intended for qualified financial advisers only and must not be relied upon by anyone else. This is the Critical Illness Claims Report 2006 from Assurance Limited Hello. This report

It is never too early... ...but it can be too late. Whole of life protection As lifestyles change over time, so do mortgage, business and family protection needs. There is never a time in your client s

Pegasus Key Features Personal Assurance Plan Key features of the Pegasus Personal Assurance plan. Important information you need to read. The Financial Services Authority is the independent financial services

LifeProtect Serious illness cover Protecting YOU FROM THE BIGGEST RISKS YOU LL FACE Important Note - Please read Zurich s Serious Illness Cover is subject to terms and conditions which are contained in

For customers Friends Life Individual Protection Childcover benefit Helping to protect the whole family Most parents don t want to think about what would happen if their child became critically ill. However,

SUPPLEMENTARY NOTES Personal General Insurance (4 th Edition) Date Of Issue: 1 October 2014 The following amendments have NOT been incorporated in the Study Guide. They should be marked up in the Study

Life, Critical Illness and Income Protection Claims Summary From January to December 2013 This is why we are here to financially protect our customers when they need it most. We are proud of what we have

Lifetime Protection Plan from Standard Life Protecting you and your family Remember when you thought you were invincible 1 of 33 2 of 33 When was the last time you felt invincible? Contents The need for

Facing the challenges of CRITICAL ILLNESS INTRODUCTION What is insurance? In life, we are all faced with threats which, if they occurred, would result in financial loss Insurance is the process of protecting

Sun Critical Illness Insurance PRODUCT FEATURE SHEET CRITICAL ILLNESS INSURANCE gives you a lump sum payment if you are diagnosed with and survive an illness covered by your plan. Having this extra measure

AA Critical Illness with Life Cover Policy Summary The Financial Services Authority is the independent financial services regulator. It requires us, Friends Life and Pensions Limited, to give you important

about our eselect Protection Life or Earlier Critical Illness Cover We set out the main points about our eselect Protection Life or Earlier Critical Illness Cover below. Your personal illustration shows

Key facts of the Lifestyle Plus Protection plan (October 2013) This document contains important information about the Lifestyle Plus Protection plan and you should read it along with your quote. This document

Product Summary Issued 21 December 2015 Zurich Life Risk Trauma cover Adviser use only Trauma insurance provides a lump sum payment on diagnosis or occurrence of a covered trauma. This is a summary only

GETTING EVERYTHING IN SHAPE A Guide to Mortgage Protection Cover Mortgage Protection Cover INTRODUCING ROYAL LONDON Ever since we started as a Friendly Society over 150 years ago, at Royal London we ve

Key facts of the Lifestyle Protection plan July 2014 This document contains important information about the Lifestyle Protection plan and you should read this along with your quote. This document doesn

Level, Renewable and Family Income Protection Key Features Lifetime Protection from Standard Life This is an important document. Please read it and keep for future reference. The Financial Conduct Authority

Living Benefit Plans What is Critical Illness Insurance? Critical Illness Insurance pays a lump sum Benefit upon diagnosis of a covered condition, such as, heart attack, cancer and stroke. History Origins

Your critical illness protection plan It could happen to you It is estimated there are over 70,000 heart attacks in Canada each year. There are between 40,000-50,000 strokes in Canada each year. An estimated

Enjoy a position of vantage, come what may. prucrisis covervantage While you have achieved much in life and you and your family enjoy the benefits of success, there may be times when the unexpected happens.

Policy Summary of Friends Life Individual Protection Critical Illness with Life Cover FLIP/4569/Mar15 This policy summary gives you important information about the Friends Life Individual Protection Critical

Policy Summary of Friends Life Individual Protection Critical Illness with Life Cover FLIP/4569/Mar15 This policy summary gives you important information about the Friends Life Individual Protection Critical

Group Critical Illness Standard Terms and Conditions Introduction This document sets out the standard terms and conditions governing the Generali Worldwide Insurance Company (referred to as we or us from

For customers Friends Life Individual Protection Critical Illness Cover Critical Illness Cover It s critical illness. And more. It s critical illness. And 2 it s designed with your needs in mind. it covers

Key features of Skandia Protect Flexible life and critical illness cover The Financial Conduct Authority is a financial services regulator. It requires us, Skandia, to give you this important information

Specialists in Wealth Management Life & Critical Illness Insurance From AXA (Hong Kong) Product Description Life Insurance: Pays out a fixed and guaranteed cash amount in the event of death Designed to

Key Features of the NFU Mutual Level Temporary Assurance Policy with Critical Illness Cover PROTECTION CONTENTS 03 Who should buy this product? Its Aims Your Commitment Risks What is the Level Temporary

A Guide to Critical Illness Insurance This guide about Critical Illness cover is designed to help you decide if this is a suitable product for you. It aims to help by answering the following questions:

Living benefits solutions Oasis A look at critical illness insurance claims People are living longer. If you experience a critical illness, you re now more likely to survive it and live for many years.

AIG Life Critical Illness with Term Assurance Our comprehensive Critical Illness with Term Assurance delivers more value and quality to the customer and their family than ever before. It is designed to

Self Assurance Your simple guide to protection Your simple guide to protection Peace of mind for you and your family None of us really knows what the future has in store, but like millions of other people

Term Assurance About Canada Life Established in 1903, the Canada Life Group has grown to be a modern and dynamic international financial services business. We are part of Great-West Life, one of the world

LIFE PROTECTION Guide to Critical Illness Definitions For guidance purposes only Lift art drawn by LoBianco Studios 5/99 About this booklet This booklet has been produced for guidance purposes only. Please

Key features of Protect Flexible life and critical illness cover The Financial Conduct Authority is a financial services regulator. It requires us, Old Mutual Wealth, to give you this important information

For customers Friends Life Individual Protection Critical Illness Cover Critical Illness Cover It s critical illness. And more. It s critical illness. And 2 it s designed with your needs in mind. it covers

PROTECT Enhanced We understand that you would want multiple coverage against critical illnesses PRUmultiple crisis cover Medical advancements over the years have led to better survival and recovery rates

Life Living Assurance Customer guide LIVING ASSURANCE TotalCareMax Customer guide Life. Take charge. sovereign.co.nz WHAT IS LIVING ASSURANCE? Living Assurance provides you and your family with peace of

We have made the following changes to the Critical Illness events covered under our group critical illness policy. March 2015 Because everyone needs a back-up plan 7 New critical illness events added to

Critical Illness Cover from Bright Grey. It just got brighter. Now includes additional cover for 2 early forms of cancer. Protection. We make it personal The latest improvements to our critical illness

Key Features of Term Assurance with Critical Illness Key Features of Term Assurance with Critical Illness The Financial Conduct Authority is a financial services regulator. It requires us, Aviva, to give

Why CI? Critical Illness Protection from Transamerica for a Broader Spectrum of Coverage What is Critical Illness Protection? Critical Illness Protection is a form of insurance that provides you with a

vital link Critical Illness Insurance It s about living your life Your guide to Critical Illness Insurance You really feel like you re on the right track. Your life seems to be going just as you planned.

Key Features of the NFU Mutual Mortgage Temporary Assurance Policy with Critical Illness Cover PROTECTION CONTENTS 03 Who should buy this product? Its Aims Your Commitment Risks 04 What is the Mortgage

INSURANCE World of Protection Upgrade Announcement Leading Life Leading Life in OnePath MasterFund Recovery Cash Stand Alone Recovery Income Safe Plus Income Cover Income Safe Business Expenses Plan July

Key Features of the Forester Life Mortgage Protection Options Plan The Financial Conduct Authority is a financial services regulator. It requires us, Forester Life, to give you this important information

BUYING LIFE INSURANCE PRODUCTS DIRECTLY FROM INSURANCE COMPANIES WITHOUT COMMISSIONS Singapore, 30 July 2014 The Monetary Authority of Singapore (MAS) announced today the features of life insurance products

How to Avoid Overpaying For Your: Mortgage Life Insurance and Mortgage Critical Illness Insurance By: Terry Bialek Congratulations! You ve just bought a new house or condominium and you ve arranged a mortgage

KEY FEATURES OF CRITICAL ILLNESS WITH LIFE COVER PROTECTION FOR LIFE Important information you need to read THE FINANCIAL CONDUCT AUTHORITY IS A FINANCIAL SERVICES REGULATOR. IT REQUIRES US, SCOTTISH WIDOWS,

10 Shenton Way MAS Building Singapore 079117 Telephone : (65) 6225-5577 FOR IMMEDIATE RELEASE Consumers Can Now Compare Life Insurance Products Online and Buy Them Without Commissions Singapore, 31 March

Critical Illness Policy Summary This summary gives you an overview of our Critical Illness product. For full details, including all the terms and conditions, please read the LV= Critical Illness Policy

ARE YOU PREPARED FOR A SERIOUS ILLNESS? It s a fact of life that we all get sick, and sometimes seriously. The cost of recovery from an illness like cancer or from a heart attack can have a huge impact.

Competitor Products: A Comparison Our plan provides death benefit with terminal illness cover, with a choice of guaranteed and reviewable premiums that can be used to protect your client's family or their

Key Features of Mortgage Life Insurance Improvements to our critical illness cover We are pleased to tell you that we ve added to our critical illness cover. The plan now includes improved critical illness

PROTECTION PERSONAL REAL Trauma Cover What is it? REAL Trauma Cover pays you a lump sum of up to $2 million if you suffer any of the 43 critical illnesses specified in the policy, such as cancer, heart

Term Assurance YOUR SAFETY NET A Guide to Term Assurance 1 INTRODUCING ROYAL LONDON Ever since we started as a Friendly Society over 150 years ago, at Royal London we ve believed that our difference is